Click on the link below to download all the appraisal forms listed below.
- Download all forms (word document)
- Download guidance for completing forms (pdf)
Form 1: Background details
1.1 Personal details
1.2 Other relevant personal details
Form 2: Details of current medical activities
2.1 A short description of your work
2.2 Sub-specialist skills and commitments
2.3 Emergency, on-call and out-of-hours responsibilities
2.4 Out-patient work
2.5 Any other clinical work
2.6 Non-NHS hospitals
2.7 Non-clinical work
2.8 Work for regional, national or international organisations
2.9 Other professional activities
Form 3: Statements and record of reference documentation supporting the appraisal and report on development action in the past year
3.1 Good medical practice
3.2 Maintaining good medical practice
3.3 Working relationships with colleagues
3.4 Relations with patients
3.5 Teaching and training
3.6 Probity
3.7 Health
3.8 Any other points, inc. further points on management and research activities
3.9 Report on development action in the past year
Form 4: Summary of appraisal discussion with agreed action and personal development plan
Form 5 : Personal and organisational effectiveness - (.doc 40kb)
Form 6 : Confidential account of appraisal interview - (.doc 39kb)
The NHS Executive requires that forms 1-4 are forwarded to the chief executive of the trust and be accessible to the GMC revalidation teams. All the information must therefore be retained for each five year revalidation cycle.